带状疱疹后遗神经痛中医病机及治疗的研究进展

Research progress in the pathogenesis and treatment of postherpetic neuralgia of traditional Chinese medicine

带状疱疹后神经痛是带状疱疹皮损愈合后最严重的后遗症,疼痛或者皮肤异常感觉严重影响患者日常活动和身心健康。临床上的抗病毒药、止疼药、麻醉药等,以及一些阻断手术不能从根本上有效治愈疾病,并且不良反应多。近几年中医对于带状疱疹后遗神经痛的治疗效果显著且不易复发。但是,到目前为止中医对于治疗带状疱疹后遗神经痛病机证型的总结较少。因此文章系统的搜集相关病因病机,阐明理论基础以及相适应的治疗方法。便于医者对带状疱疹后遗神经痛证型的把握,准确治疗,减轻患者痛苦指数,提高患者康复率,为以后的研究打下一定的理论基础、提供新的方向。

Postherpetic neuralgia is the most serious sequelae after the healing of herpes zoster skin lesions,whose pain or abnormal skin sensations seriously affect the daily activities,physical and mental health of patients.Antiviral drugs,painkillers,anesthetics,and some blocking surgeries in clinical practice cannot fundamentally cure the disease,and can also give rise to many side effects.In recent years,traditional Chinese medicine has shown significant therapeutic effects in the treatment of postherpetic neuralgia and can prevent its recurrence.However,so far,there have been relatively fewer summaries about the pathogenesis and syndrome types of postherpetic neuralgia of traditional Chinese medicine.Therefore,this article systematically collects its relevant etiologies and pathogeneses,and expounds its theoretical foundations and corresponding treatment methods.It is anticipated that this research may facilitate doctors to grasp the syndrome types of postherpetic neuralgia,to treat it accurately,to reduce the pain index of patients,to improve the recovery rate of patients,and to lay a certain theoretical basis and provide a new direction for its future research.